- Kelsey-Seybold Clinic (Pearland, TX)
- …meet work standards and performance measures for this position **Job Title: Claims Processing Specialist ** **Location: Pearland Administrative Office** ... laws and regulations governing Medicare billing practices, medical billing systems, and claims processing . Preferred: IDX/EPIC, PC skills, and understanding of… more
- CVS Health (Austin, TX)
- …+ Reviews pre-specified claims or claims that exceed specialist adjudication authority or processing expertise. + Applies medical necessity guidelines, ... every day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a… more
- Sedgwick (Austin, TX)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Specialist Sr - Commercial Coverage Specialist **PRIMARY PURPOSE** ... **:** To analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature and/or severe injury claims ; to… more
- Sedgwick (Austin, TX)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Senior Claims Specialist , Professional Liability (A&E, D&O) **ESSENTIAL FUNCTIONS and ... RESPONSIBILITIES** + Analyzes and processes complex or technically difficult liability claims by investigating and gathering information to determine the exposure on… more
- Sedgwick (Austin, TX)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. Claims Specialist , Medical Malpractice (LTC) **PRIMARY PURPOSE** : To analyze ... complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature and/or severe injury claims ; to coordinate case… more
- Mass Markets (Killeen, TX)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... in the industry. We are seeking a detail-oriented and analyticalOn-SiteClaims Adjudication Specialist to join our team! If you have strong critical thinking skills,… more
- Allied Solutions (Plano, TX)
- …Loss, GAP, CPI and others as assigned. This position will involve the initial processing and investigation of 20-40 claims per day. This position ensures that ... is responsible for the initial setup and investigation of claims prior to the assignment of the claim to...insurance/recovery claim experience as a Claim Processor or Claim Specialist with a minimum of 9 months to 2… more
- UTMB Health (Galveston, TX)
- … Specialist will be responsible for billing all third-party payers through a claims processing vendor and/or for appeal of denied professional and/or hospital ... Patient Account Specialist - Revenue Cycle HB Billing & Denials **Galveston,... claims . Identifies billing issues affecting hospital and/or physicians claims… more
- Sam Houston State University (Huntsville, TX)
- …can be translated by payers and other medical professionals. Ensures timely and accurate processing of medical claims , follow-up of unpaid or underpaid claims ... Three years of experience in medical billing, charge entry, coding, and claims follow-up, ideally within a multi-specialty group that focuses on family medicine,… more
- Molina Healthcare (San Antonio, TX)
- …concisely and accurately, in accordance with regulatory requirements. + Research claims processing guidelines, provider contracts, fee schedules and system ... years operational managed care experience (call center, appeals or claims environment). + Health claims processing...center, appeals or claims environment). + Health claims processing background, including coordination of benefits,… more
- Molina Healthcare (San Antonio, TX)
- …concisely and accurately, in accordance with regulatory requirements. + Research claims processing guidelines, provider contracts, fee schedules and system ... years operational managed care experience (call center, appeals or claims environment). + Health claims processing...center, appeals or claims environment). + Health claims processing background, including coordination of benefits,… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …everyday health. In its evolved customer engagement model, a Neuroscience Specialist engages healthcare providers (HCPs) using in-person, virtual, and digital tools, ... patient care and provide a superior experience. The Neuroscience Specialist will report directly to the respective Area Business...offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed,… more
- United Musculoskeletal Partners (Carrollton, TX)
- **DESCRIPTION** **Job Summary:** We are seeking an experienced Workers' Compensation Specialist to work in AOA's central Business Office in Arlington. The Workers' ... Compensation Specialist is the liaison between the patient, insurance carrier,...assigned. + Ensures proper documentation is attached to billing claims before submission or re- submission of the … more
- University of Texas Rio Grande Valley (Mcallen, TX)
- Position Information Posting NumberSRGV8268 Working TitlePRIOR AUTHORIZATION AND REFERRAL SPECIALIST (UT Health RGV Cancer and Surgery Center-Rehabilitation Center) ... Revenue Cycle FTE1.0 FLSANon-Exempt Scope of Job Responsible for obtaining and processing all prior authorizations and referrals and entering the completed referral… more
- Lowe's (Desoto, TX)
- …Bulk Distribution Centers (BDC). Your day involves reviewing calls, emails, and claims , providing status updates, processing special orders, and monitoring load ... **Your Impact at Lowe's** As a Bulk Distribution Center Support Specialist , you'll work on-site in our Bulk Distribution Center (BDC) offices, serving as a point of… more
- Mass Markets (Killeen, TX)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... as a trusted partner in the industry. We're looking for a Talent Acquisition Specialist to support our growing team by managing the full recruitment life cycle. If… more
- Mass Markets (TX)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... partner in the industry. We are seeking a dynamic and results-drivenOn-SiteSales Specialist to join our high-volume, fast-paced contact center team. If you are… more
- Mass Markets (TX)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... partner in the industry. We are seeking a Licensed Life and Health Insurance Specialist who will play a vital role in educating and guiding customers to select… more
- Johnson Thermal Systems (Abilene, TX)
- Safety Specialist Abilene, TX Full Time Experienced Share (https://johnsonthermalsystems.applytojob.com/app/share/pwxZtTPPS2) Job Title: Safety Specialist ... using leading and trailing indicators. + Facilitates the workers' compensation claims process including initial entering of claim; assisting in the investigation;… more
- Aston Carter (Fort Worth, TX)
- Description We are seeking a detail-oriented and experienced Payroll Specialist to support our biweekly payroll operations using ADP and Deltek. This role is ... critical to ensuring timely and accurate payroll processing , including timesheet imports, payroll tax oversight, and third-party sick pay coordination. Key… more